21D2048525 CLIA NUMBER - HART PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 21D2048525
  • Facility Name: HART PEDIATRICS, LLC
  • Facility Address: 1201 SEVEN LOCKS ROAD, STE 202
    ROCKVILLE, MD
    ZIP 20854
  • Facility Phone: 240 424-5880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHANIE J. HART
  • NPI Number: 1053686410
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2048525
LAB Type Physician Office
Facility Name HART PEDIATRICS, LLC
Street 1201 SEVEN LOCKS ROAD, STE 202
City ROCKVILLE
State MD
ZIP 20854
Phone 240 424-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director DR. STEPHANIE J. HART

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This page was last updated on: 9/29/2025